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seemed to be sufficient for
the level of care required.
And the monthly Medicaid
rate was 298 dollars per
month. That’s not a typo.
The State reimbursement
rate was less than ten dollars
a day and folks in the industry
complained about the low
rate to anybody who would
listen (That’s one thing that
HASN’T changed!)
There were fourteen survey-ors
for all Oklahoma health
care facilities including Nurs-ing
Homes, Hospitals, Home
Health Agencies, Laborato-ries,
and Mental Health Hos-pitals.
Notice I did not men-tion
Residential Care Facili-ties,
ICF-IIDs, Assisted Living
Centers or Adult Day Care
Centers. Those didn’t exist
in January 1974. They all
came along later. There
were three Long Term Care
facilities that accepted Medi-care
Reimbursement in Okla-homa
and two of them were
hospital based SNF units.
..cont’d pg 10
After thirty-nine years of
state service (all in Long
Term Care) I retired on May
1, 2013. This will be my last
piece for our newsletter and
for most of you, the last time
you ever hear from me. As I
prepare to leave the only
career I have ever known, I
can’t help but reflect on how
much has changed in the in-dustry
since I started on Janu-ary
21, 1974.
When I began in Long Term
Care in 1974, Richard Nixon
was president, the Soviet
Union was the other world
power, nobody had ever
heard of Al Qaida and a cup
of coffee was ten cents. The
Vietnam War was just about
over and Watergate con-sumed
the 6:00 pm news on
all three Oklahoma City TV
stations. The big domestic
crisis was the Arab oil em-bargo;
gasoline had just gone
up from 30 cents to 50 cents
a gallon and everybody was in
a panic. The world was sim-pler
then and long term care
was simpler too. There
were about 360 ―Nursing
Homes‖ in Oklahoma. Most
were in the 50-60 bed range
and were family owned with
Dad as the administrator,
Mom as the DON, Aunt Ma-ble
as the head cook, one of
the daughters as the Social
Service/Activity department
and some other relative
working as the Janitor/
Maintenance Man. Most
nursing facilities had an LPN
as the DON with an RN con-sultant
eight hours a month,
whether they needed it or
not. The acuity was low, bed
-fast residents were unusual
and pressure sores were al-most
unheard of. Minimum
Staffing requirements were
1:10 on days, 1:15 on eve-nings
and 1:25 on nights and
FAREWELL…………………..By Jerry Taylor, Enforcement
V O L U M E I V I S S U E 1 A U G U S T 2 , 2 0 1 3
S P ECIAL
POINTS OF
INTERE ST:
Jerry Taylor,
pictured at right,
is retiring from
the OSDH after
39 years of ser-vice
Nurse Aide Re-newal
application
process ex-plained
Rising Temps -
Tips for Resident
Safety
IInssiideerr CChaatt
L
T
C
―Hold yourself re-sponsible
for a higher
standard than anyone
else expects of you.
Never excuse your-self.‖
-Henry Ward Beecher
Volunteer LTC Facilities Needed
If you would like to volunteer to have a mock Quality Indicator Survey
(QIS) conducted at your facility please send an email to:
Karenag@health.ok.gov
Did you
know??
All editions of the
Insider Chat can be
accessed through
our website. Visit:
http://www.ok.gov/
health/
Protective_Health/
Long_Term_Care_S
ervice/index.html

seemed to be sufficient for
the level of care required.
And the monthly Medicaid
rate was 298 dollars per
month. That’s not a typo.
The State reimbursement
rate was less than ten dollars
a day and folks in the industry
complained about the low
rate to anybody who would
listen (That’s one thing that
HASN’T changed!)
There were fourteen survey-ors
for all Oklahoma health
care facilities including Nurs-ing
Homes, Hospitals, Home
Health Agencies, Laborato-ries,
and Mental Health Hos-pitals.
Notice I did not men-tion
Residential Care Facili-ties,
ICF-IIDs, Assisted Living
Centers or Adult Day Care
Centers. Those didn’t exist
in January 1974. They all
came along later. There
were three Long Term Care
facilities that accepted Medi-care
Reimbursement in Okla-homa
and two of them were
hospital based SNF units.
..cont’d pg 10
After thirty-nine years of
state service (all in Long
Term Care) I retired on May
1, 2013. This will be my last
piece for our newsletter and
for most of you, the last time
you ever hear from me. As I
prepare to leave the only
career I have ever known, I
can’t help but reflect on how
much has changed in the in-dustry
since I started on Janu-ary
21, 1974.
When I began in Long Term
Care in 1974, Richard Nixon
was president, the Soviet
Union was the other world
power, nobody had ever
heard of Al Qaida and a cup
of coffee was ten cents. The
Vietnam War was just about
over and Watergate con-sumed
the 6:00 pm news on
all three Oklahoma City TV
stations. The big domestic
crisis was the Arab oil em-bargo;
gasoline had just gone
up from 30 cents to 50 cents
a gallon and everybody was in
a panic. The world was sim-pler
then and long term care
was simpler too. There
were about 360 ―Nursing
Homes‖ in Oklahoma. Most
were in the 50-60 bed range
and were family owned with
Dad as the administrator,
Mom as the DON, Aunt Ma-ble
as the head cook, one of
the daughters as the Social
Service/Activity department
and some other relative
working as the Janitor/
Maintenance Man. Most
nursing facilities had an LPN
as the DON with an RN con-sultant
eight hours a month,
whether they needed it or
not. The acuity was low, bed
-fast residents were unusual
and pressure sores were al-most
unheard of. Minimum
Staffing requirements were
1:10 on days, 1:15 on eve-nings
and 1:25 on nights and
FAREWELL…………………..By Jerry Taylor, Enforcement
V O L U M E I V I S S U E 1 A U G U S T 2 , 2 0 1 3
S P ECIAL
POINTS OF
INTERE ST:
Jerry Taylor,
pictured at right,
is retiring from
the OSDH after
39 years of ser-vice
Nurse Aide Re-newal
application
process ex-plained
Rising Temps -
Tips for Resident
Safety
IInssiideerr CChaatt
L
T
C
―Hold yourself re-sponsible
for a higher
standard than anyone
else expects of you.
Never excuse your-self.‖
-Henry Ward Beecher
Volunteer LTC Facilities Needed
If you would like to volunteer to have a mock Quality Indicator Survey
(QIS) conducted at your facility please send an email to:
Karenag@health.ok.gov
Did you
know??
All editions of the
Insider Chat can be
accessed through
our website. Visit:
http://www.ok.gov/
health/
Protective_Health/
Long_Term_Care_S
ervice/index.html